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1891196838
MICHELLE R. SMART
SPRINGFIELD, IL
NPI
1891196838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209011637)
Enumeration Date
2014-09-09
Last Update Date
2016-01-28
Business Address
-- MICHELLE R. SMART FNP-BC
775 ENGINEERING AVE
SPRINGFIELD, IL 62703-5909
Phone number: 217-522-4300
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Mailing Address
-- MICHELLE R. SMART FNP-BC
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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